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Disorders of the external ear -external ottis,…
Disorders of the external ear -external ottis
Clinical manifestations
Serious drainage
Pain areas: in the ear
Swelling
redness, or tenderness
Also common: feeling of fullness in the ear, hearing loss, itching,
Pathophysiology
Any interruption in wax formation,trauma to the canal or blockage can disrupt the external auditory canal’s protective mechanisms, and lead to pathogen overgrowth and inflammation
occur as furuncle associated with hair follicle
External ear canal may be oedematous and erythematus
May occur as pastule
Nursing care plan
Nursing Implementation
Any interruption in wax formation,trauma to the canal or blockage can disrupt the external auditory canal’s protective mechanisms, and lead to pathogen overgrowth and inflammation
occur as furuncle associated with hair follicle
External ear canal may be oedematous and erythematus
May occur as pastule
Nursing diagnosis
Risk of infection related toKnowledge deficit about infection in
children
Disturbed sensory perception telated to Inflammation and edema
of middle ear.
References
Bobby L. et al. Ann allergy asthma; nasal peforation;
immunol.2007. Dec
Taek K, Jae uoung J. Deviated septum:
pathophysiology.2020 March
Disorders of the middle ear
Otitis media
Nursing care plan
Nursing diagnosis
Acute psun related to inflammation and decrease pressure on the middle ear
Disturbed Sensory Perception related to inflammation and oedema of the middle ear
Deficient knowledge related to misinterpreted information, lack of information or to recall it.
pain, malaise, fever, and coryzal symptoms,
tympanic membrane (TM) will look erythematous
small tear visible with purulent discharge in the auditory canal
Nursing implementation
Assess client’s description and frequency of pain; Use a pain rating scale. Observe if the infant is tugging or rubbing an ear.
Assess parent’s current knowledge on the condition, the risks of exposing the infant/child to passive smoking, feeding activities with the infant, and exposure to illness.
Assess client’s hearing ability. Ask an older child to describe hearing loss
clinical manifestation
can't hear low-pitched sounds or people whispering
Dizziness, vertigo, or balance problems Tinnitus, or ringing, roaring, or hissing in your ears
hearing loss or ringing
pathophysiology
Common causative bacteria include S. pneumoniae (most common), H. influenza, M. catarrhalis, and S. pyogenes, all common upper respiratory tract microbiota.
Bacterial infection of the middle ear results from nasopharyngeal organisms migrating via the eustachian tube.
It is a spectrum of diseases that include acute otitis media (AOM), chronic suppurative otitis media (CSOM), and otitis media with effusion (OME). Acute otitis media is the second most common paediatric diagnosis in the emergency department following upper respiratory infections.
Otosclerosus
pathophysiology
Causes hearing loss. It happens when a small bone in your middle ear -- usually the one called the stapes gets stuck in place. Most of the time, this happens when bone tissue in your middle ear grows around the stapes in a way it shouldn't.
Clinical manifestations
can't hear low-pitched sounds or people whispering
Dizziness, vertigo, or balance problems Tinnitus, or ringing, roaring, or hissing in your ears
hearing loss or ringing
Nursing Care Plan
Nursing diagnosis Altered in hear mechanism related to bone formation
Pain in the ear
Nursing implementation
hearing loss or ringing
Dizziness, vertigo, or balance problems Tinnitus, or ringing, roaring, or hissing in your ears
can't hear low-pitched sounds or people whispering